| NPI | 1932392792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A90975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12194) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-04-06 |